筑筑惕惕心动悸，怔怔仲仲不自安，饮多尿少为停水，厥冷汗后是虚寒。
【注】心下筑筑惕惕、怔怔忡忡，谓悸病
之状也。饮水多而小便少，水停心下之悸也，宜茯苓甘草汤，或五苓散。厥冷为寒，宜真
武汤，汗后为虚，宜小建中汤。或不因汗后，是虚之甚也，宜炙甘草汤。
战身耸动栗心HT ，振虽耸动比战轻，故振责虚因无力，栗战相交邪正争，此证若生
三法后，虚其中外逆而成，不逆因和而作解，正胜邪却战汗平。
【注】战，谓身抖耸动也。栗，谓心内发HT 也。振，亦耸动，比之于战则无力也。所
以论中曰∶振振者，皆责其虚也。栗，邪气为之也。战，正气为之也。邪正相交故争也。
此证若生于汗、吐。下之后，是虚其中外而致逆也。若不致逆，邪因以衰，正因以和而
作解，则为正胜邪却，战栗汗出而平也。
呃逆今名KT 古名，不似哕哕胃里声，KT 声格格连声作，原夫脐下气来冲，颇类暖噫
情自异，均属气逆治能同。虚热橘皮竹茹治，二便不利利之宁，气不归原宜都气，寒虚丁
萸附理中，痞硬下利生姜泻，痞硬噫气代赭功。
【注】今之名曰呃逆，即古之名曰KT 也。KT 者，气噎结有声也。世有以哕为呃逆者，盖
不知哕哕之声，声从胃里退场门，不似KT 之格格连声，气从脐下来自冲脉，退场门作声也。呃
逆颇类嗳气噫气。嗳气者，因饱食太急，比时作嗳，转食气也。噫气者，因过食伤食，越
时作噫，食臭气也，故曰情自异也。但均属气逆为病，故曰治能同也。呃逆之病，胃气
虚竭也。兼热者，以橘皮竹茹汤加柿蒂主之。兼大便不利，以三承气汤主之。兼小便不利，
以二苓散汤主之。兼肾虚不能摄冲脉之气归原，以都气汤加牛膝主之，兼寒虚，太阴手
足温，以丁萸理中汤主之，少阴手足厥，更加附子。兼痞硬下利，以生姜泻心汤主之。兼
痞硬噫气，以旋复代赭石汤主之。
筑筑惕惕，心中悸动不安；怔怔忡忡，心神恍惚无法自持。饮水多而小便少，这是水饮停聚所致；四肢厥冷、冷汗出或发汗后出现心悸，属于虚寒证。
【注】心下感到筑筑惕惕、怔怔忡忡，这就是心悸病的症状表现。饮水多而小便少，是水饮停聚在心下引起的心悸，适宜用茯苓甘草汤，或者五苓散。四肢厥冷属于寒证，适宜用真武汤；发汗后出现心悸属于虚证，适宜用小建中汤。如果不是因为发汗后引起的，则是虚损非常严重，适宜用炙甘草汤。
战栗表现为身体耸动颤抖，振颤虽然也有耸动，但比战栗轻微。因此，振颤责之于正气虚弱导致无力，而战栗与振颤相交，是邪气与正气相争的表现。如果这种症状出现在发汗、催吐、泻下三种治法之后，是因为体内正气亏虚，内外失调而导致逆乱。如果不发生逆乱，说明邪气已经衰退，正气调和从而病愈，这是正气战胜邪气，通过战栗出汗而病情平复。
【注】“战”，是指身体抖动耸动的样子。“栗”，是指内心感到恐惧战栗。“振”，也是耸动，但比起“战”来显得无力。所以《伤寒论》中说：凡是出现振振摇动的，都责之于正气虚弱。“栗”，是由邪气引起的；“战”，是由正气引起的。邪气与正气相互交争，所以称为“争”。如果这种症状产生于发汗、催吐、泻下之后，是因为损伤了中焦和外部的正气而导致气机逆乱。如果不能导致逆乱，邪气因此衰弱，正气因此调和而病解，这就叫做正气战胜邪气，通过战栗出汗而痊愈。
呃逆现在称为“嗳气”（此处指打嗝声，古称哕），不像“哕”那样声音从胃里发出。“嗳”的声音格格连声不断，原本是由于脐下之气上冲所致。这与嗳气、噫气颇为相似，但情状各异，不过都属于气机上逆，治疗方法能够相同。对于虚热型的呃逆，用橘皮竹茹汤治疗；二便不利的，用通利二便的方法使病情安宁；气不归原的，宜用都气丸；寒虚型的，用丁香、吴茱萸、附子配合理中汤；伴有痞硬和下利的，用生姜泻心汤；伴有痞硬和噫气的，用旋复代赭石汤有效。
【注】现在的名称叫呃逆，也就是古代名称中的“哕”。“哕”，是指气机噎结而有声音。世间有人把“哕”当作呃逆，大概是不了解“哕哕”的声音，是从胃里退至肛门处发出的，不像“呃”那样格格连声，呃逆的气是从脐下冲脉上来，在咽喉部发声的。呃逆颇类似嗳气和噫气。嗳气，是因为饱食太急，当时就打嗝，是转输食气的表现。噫气，是因为过食导致伤食，过了一会儿打嗝，是食物腐臭的气味，所以说情状各自不同。但都属于气逆为病，所以说治疗方法能够相同。呃逆这个病，是胃气虚竭所致。兼有热的，用橘皮竹茹汤加柿蒂为主方。兼有大便不利的，用三承气汤为主方。兼有小便不利的，用二苓散汤为主方。兼有肾虚不能摄纳冲脉之气归元，用都气汤加牛膝为主方。兼有寒虚，太阴病手足温的，用丁萸理中汤为主方；少阴病手足厥冷的，再加附子。兼有痞硬和下利的，用生姜泻心汤为主方。兼有痞硬和噫气的，用旋复代赭石汤为主方。
Palpitating and startled (Xin Dong Ji), the heart beats restlessly; trembling and anxious (Zheng Zheng Zhong Zhong), the mind is unsettled and cannot find peace. Drinking much water but urinating little indicates retained fluid (Ting Shui); cold extremities, cold sweat, or palpitations after sweating indicate deficiency-cold (Xu Han).
[Note] The sensations of "palpitating and startled" and "trembling and anxious" beneath the heart describe the manifestations of Heart Palpitation (Ji Bing). When one drinks much water but urinates little, it is palpitation caused by fluid retention in the epigastrium (Shui Ting Xin Xia), for which Lingzhi Gancao Tang (Poria and Licorice Decoction) or Wuling San (Five-Ingredient Powder with Poria) is indicated. Cold extremities indicate cold, for which Zhenwu Tang (True Warrior Decoction) is indicated; palpitations after sweating indicate deficiency, for which Xiao Jianzhong Tang (Minor Construct the Middle Decoction) is indicated. If not occurring after sweating, it signifies severe deficiency, for which Zhigancao Tang (Honey-Fried Licorice Decoction) is indicated.
Shivering with body shaking (Zhan Shen Song Dong) and inner fear (Li Xin), although both involve shaking, shivering (Zhen) is milder than shuddering (Zhan). Therefore, Zhen is attributed to deficiency due to lack of strength, while Li and Zhan intermingling represents the struggle between pathogenic factors (Xie Qi) and healthy qi (Zheng Qi). If this syndrome arises after the three methods of sweating, vomiting, or purging, it is due to internal and external deficiency leading to rebellion. If it does not lead to rebellion, the pathogenic factor declines, healthy qi harmonizes, and resolution occurs; this means healthy qi overcomes the pathogen, and the condition calms through shivering and sweating.
[Note] "Zhan" refers to the shaking and耸动 (upright movement) of the body. "Li" refers to inner fear and trembling. "Zhen" also involves耸动, but compared to "Zhan," it lacks strength. Thus, the Treatise states: All cases of "Zhenzhen" (trembling/shaking) are attributed to deficiency. "Li" is caused by pathogenic factors; "Zhan" is caused by healthy qi. The interaction between pathogenic factors and healthy qi constitutes the "struggle." If this syndrome arises after sweating, vomiting, or purging, it is because the middle and exterior were damaged, causing qi rebellion. If it does not cause rebellion, the pathogen declines, healthy qi harmonizes, and the disease resolves, meaning healthy qi overcomes the pathogen, and the condition calms through shivering, shuddering, and sweating.
E'ni (Hiccups/Inverted Stomach Qi), now named so, differs from Yue (belching/gurgling sound) as the latter's sound originates from within the stomach. E'ni produces a continuous 'ge-ge' sound, originally arising from qi rushing up from below the navel. It resembles Aqi (burping) and Yi Qi (sighing/belching), yet their conditions differ; however, all belong to rebellious qi, so treatments can be similar. For deficiency-heat type, Chuanpi Zhuru Tang (Citrus Peel and Bamboo Shavings Decoction) is used. For obstruction of both bowels and bladder, unblocking them brings peace. For qi failing to return to its origin, Duqi Wan (Duqi Pill) is suitable. For cold-deficiency, Dingyu Fuli Zhong Tang (Clove, Evodia, Aconite, and Ginger-Building-Middle Decoction) is used. For fullness-hardness with diarrhea, Shengjiang Xiexin Tang (Fresh Ginger Draining Epigastrium Decoction) is used. For fullness-hardness with belching, Xuanfu Daizhe Shi Tang (Inula and Hematite Decoction) is effective.
[Note] The current name is E'ni, which corresponds to the ancient name Yue. "Yue" refers to qi stagnation with sound. Some mistakenly equate Yue with E'ni, likely unaware that the sound of Yue emerges from the stomach towards the anus, unlike E'ni's continuous 'ge-ge' sound, where qi rises from the Chong Mai (Penetrating Vessel) below the navel and sounds at the throat. E'ni resembles Aqi and Yi Qi. Aqi occurs when eating too quickly, resulting in immediate burping to expel food qi. Yi Qi occurs after overeating and damaging the spleen/stomach, resulting in belching with a sour odor later, hence the different conditions. However, all are diseases of rebellious qi, so treatments can be similar. E'ni results from exhaustion of Stomach Qi. If accompanied by heat, Chuanpi Zhuru Tang added with Persimmon Calyx (Shidi) is the main formula. If accompanied by constipation, San Chengqi Tang (Three Bowel-Unblocking Decoctions) is the main formula. If accompanied by dysuria, Er Ling San (Two Poria Powders) is the main formula. If accompanied by Kidney deficiency failing to control the Chong Mai qi returning to its origin, Duqi Tang added with Achyranthes Root (Niuxi) is the main formula. If accompanied by cold-deficiency, with Taiyin pattern presenting warm hands and feet, Dingyu Lizhong Tang (Clove, Evodia, and Ginger-Building-Middle Decoction) is the main formula; for Shaoyin pattern with cold extremities, add Aconite (Fuzi). If accompanied by fullness-hardness and diarrhea, Shengjiang Xiexin Tang (Fresh Ginger Draining Epigastrium Decoction) is the main formula. If accompanied by fullness-hardness and belching, Xuanfu Daizhe Shi Tang (Inula and Hematite Decoction) is the main formula.